25 yer old male with c/o rash for 3 months. Treatment initiated with topical antifungal and PO Bactrim. Symptoms worsened & we added terbinafine. Symptoms have continued to worsen. Mild- mod pruritus otherwise asymptomatic. Rash began on lower extremities and has spread to extremities x 4, trunk, groin. No significant past medical hx or rash risk factors. What is your opinion on diagnosis and management?

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Nummular Eczema * PSORIASIS Reassurance and councelling required. Steroid orally in tapering dose. Levocet 5mg bd. Clean area with diluted betadine lotion apply mupriocin + lobate-s oint locally. Multivitamin and antioxidants orally. Rehydrate skin by applying moisturizer or emollient lotion locally HS. Keep the area clean and covered with sterile gauge.

Thanks Dr kute Ankush
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IT'S A..CASE OF.. D/D.. ? IMPETIGO CONTAGIOSUM.. ? HSV INFECTION..

Tnx Dr Gyanendranath Tripathy
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Lesions appears to be psoriasis

Thanx dr Ashok Leel
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? Psoriasis / Nummular Eczema

Herpetic dermatitis

? NUMMULAR ECZAMA/KAPOSI'S SARCOMA

Thanks Dr. Pushker Bhomia
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Vasculitis

Lichen simplex dd vasculitis dd haemangioma dd HSP

Looks like psoriasis

Herpes infection Impetigo

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